| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $316.23 | $316.23 | |
Aetna
| Professional | $316.23 | $316.23 | $331.13 | |
CareFirst
| Professional | $251.19 | $251.19 | $891.25 | |
Cigna
| Facility | $302.00 | $316.23 | $316.23 | |
Cigna
| Professional | $316.23 | $316.23 | $316.23 | |
Kaiser Permanente
| Professional | $138.04 | $1,230.27 | $1,318.26 | |
United
| Facility | $275.42 | $275.42 | $275.42 | |
United
| Professional | $125.89 | $234.42 | $1,445.44 |